About you

This survey is for people who have had a diagnosis of cardiomyopathy or myocarditis. It asks about your experiences and public perceptions of the condition, and about what has been helpful, and what has been unhelpful, to you.

Your responses are confidential and we will not ask for your name or any personal details. Please note that we will not be able to  personally respond to any comments or questions you include in this survey.

If you have any questions about your cardiomyopathy or myocarditis, or completing this survey raises any issues for you, you may like to speak to one of our helpline team. The helpline is available on 0800 018 1024 from 8.30 - 4.30, Monday to Friday.

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* 1. What is your connection to cardiomyopathy or myocarditis?

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* 2. Please tell us your age

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* 3. What condition have you been diagnosed with?

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* 4. When were you diagnosed with your condition?

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